No AccessJournal of UrologyClinical Urology: Urological Neurology and Urodynamics1 Mar 1996Transurethral Collagen Injections in the Therapy of Post-Radical Prostatectomy Stress Incontinence James M. Cummings, John A. Boullier, and Raul O. Parra James M. CummingsJames M. Cummings , John A. BoullierJohn A. Boullier , and Raul O. ParraRaul O. Parra View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)66371-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We report on our initial results with glutaraldehyde cross-linked collagen used as an injectable bulking agent for the therapy of post-radical prostatectomy stress incontinence. Materials and Methods: A total of 19 men underwent collagen injection for treatment of post-radical prostatectomy stress incontinence. Results: Of the 19 patients treated 11 had either a good (4) or improved (7) result, for an overall satisfaction rate of 58 percent with a followup of 3 to 15 months (mean 10.4). Failure correlated with presence of bladder neck contracture or scarring and severity of incontinence. Conclusions: Injection of collagen for stress incontinence after radical prostatectomy has an acceptable short-term success rate, particularly in men with milder incontinence and lack of bladder neck scarring. References 1 : Impact of anatomical radical prostatectomy on urinary continence. J. Urol.1991; 145: 512. Link, Google Scholar 2 : Radical retropubic prostatectomy: morbidity and quality of life. Experience with 620 consecutive cases. J. Urol.1992; 147: 883. Link, Google Scholar 3 : Early continence after radical prostatectomy. J. Urol.1992; 148: 92. Link, Google Scholar 4 : Return of erections and urinary continence following nerve sparing radical retropubic prostatectomy. J. Urol.1993; 150: 905. Link, Google Scholar 5 : Periurethral polytetrafluoroethylene injection for urinary incontinence. J. Urol.1982; 127: 439. Link, Google Scholar 6 : Migration and granulomatous reaction after periurethral injection of Polytef (teflon). J.A.M.A.1984; 251: 3277. Google Scholar 7 : Periurethral injection of autologous fat for the treatment of sphincteric incontinence. J. Urol.1994; 151: 607. Link, Google Scholar 8 : Summary of effectiveness and safety in the prospective, open, multicenter investigation of Contigen implant for incontinence due to intrinsic sphincteric deficiency in males. J. Urol., part 21994; 151: 271A. abstract 174. Google Scholar 9 : Management of urinary incontinence after prostatectomy with the artificial urinary sphincter. J. Urol.1989; 142: 302. Link, Google Scholar 10 : The model AS 800 artificial urinary sphincter: Mayo Clinic experience. J. Urol.1987; 137: 668. Link, Google Scholar 11 : Transurethral polytef injection for post-prostatectomy urinary incontinence. Brit. J. Urol.1992; 69: 26. Google Scholar 12 : Teflon injection in stress incontinence. Brit. J. Urol.1985; 57: 78. Google Scholar 13 : Polytetrafluorethylene injection for post-prostatectomy incontinence: experience with 20 patients during 3 years. J. Urol.1991; 146: 1575. Abstract, Google Scholar 14 : Treatment of post-prostatectomy stress urinary incontinence with periurethral polytetrafluoroethylene paste injection. J. Urol.1994; 152: 1463. Abstract, Google Scholar 15 : Treatment of urinary incontinence by the periurethral implantation of glutaraldehyde cross-linked collagen. J. Urol.1989; 141: 538. Google Scholar 16 : Transurethral collagen injection for urinary incontinence. Urology1994; 43: 413. Google Scholar Division of Urology, St. Louis University School of Medicine, St. Louis, Missiouri© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byCLEMENS J, BUSHMAN W and SCHAEFFER A (2018) QUESTIONNAIRE BASED RESULTS OF THE BULBOURETHRAL SLING PROCEDUREJournal of Urology, VOL. 162, NO. 6, (1972-1976), Online publication date: 1-Dec-1999.Martins F, Bennett C, Dunn M, Filho D, Keller T and Lieskovsky G (2018) ADVERSE PROGNOSTIC FEATURES OF COLLAGEN INJECTION THERAPY FOR URINARY INCONTINENCE FOLLOWING RADICAL RETROPUBIC PROSTATECTOMYJournal of Urology, VOL. 158, NO. 5, (1745-1749), Online publication date: 1-Nov-1997.Chernoff A, Horowitz M, Combs A, Libretti D, Nitti V and Glassberg K (2018) Periurethral Collagen Injection for the Treatment of Urinary Incontinence in ChildrenJournal of Urology, VOL. 157, NO. 6, (2303-2305), Online publication date: 1-Jun-1997.Sanchez-Ortiz R, Broderick G, Chaikin D, Malkowicz S, Van Arsdalen K, Blander D and Wein A (2018) COLLAGEN INJECTION THERAPY FOR POST-RADICAL RETROPUBIC PROSTATECTOMY INCONTINENCE: ROLE OF VALSALVA LEAK POINT PRESSUREJournal of Urology, VOL. 158, NO. 6, (2132-2136), Online publication date: 1-Dec-1997. Volume 155Issue 3March 1996Page: 1011-1013 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information James M. Cummings More articles by this author John A. Boullier More articles by this author Raul O. Parra More articles by this author Expand All Advertisement PDF downloadLoading ...
No takes yet. Share an insight, caveat, or question.
Cummings et al. (1996) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: